[ULTRASOUND IN ANESTHESIOLOGY AND INTENSIVE CARE: WHAT TO TEACH?]

Abstract

Despite the fact that there is a wealth of experience of using ultrasound in medicine, its application in anesthesiology and critical care began relatively recently Ultrasound navigation can improve the quality of the invasive procedures. There were developed special protocols for critically ill patients, which helps to obtain the diagnosis at the bedside. Therefore all the world's leading societies and associations recommend to include the training of ultrasound technology in the education program for anesthesiologists and intensive care specialists. Society for Ultrasound in Anaesthesia recommended to acquire six competencies: ultrasound monitoring of the respiratory tract in anesthesiology and critical care medicine; ultrasound monitoring of the pleura and the lungs; focused echocardiography and intraoperative monitoring; catheterization of blood vessels under the control of ultrasound; ultrasound monitoring ofcritically ill patients; ultrasound navigation for regional anesthesia. Resident physician should have skills for ultrasound assistance during catheterization central veins and for ultrasound monitoring in critical ill patients to the extent of FAST protocol (level ofpractical skill "to be able'). Other topics should being studied at the level "to know". It is reasonable to hone practical skills on these competences as part ofpostgraduate continuing education program to the extent that is needed for specialist at his workplace.